MS. MARY SHACKELFORD MUMFORD LICSW
NPI 1730291246
Social Worker - Clinical in Quincy, MA

Active since August 31, 2006
1354 HANCOCK ST, QUINCY, MA 02169(617) 471-5686 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Mary Shackelford Mumford Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY SHACKELFORD MUMFORD LICSW (NPI 1730291246) is an individual clinical provider in Quincy, Massachusetts, licensed in Massachusetts (1021698) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1730291246
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY SHACKELFORD MUMFORDCredential: LICSW
Location Address1354 HANCOCK STQuincy, MA 02169-5109
Mailing Address17 Church StDedham, MA 02026-4315 · (781) 686-9121
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1730291246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 1021698
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

1354 HANCOCK ST, Quincy, MA 02169

Other Identifiers 2

Medicare ID-Type UnspecifiedMU PO6400MA
OtherMU PO6400MA · Medicare

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
1354 HANCOCK ST, SUITE 304
QUINCY, MA 02169
Counselor (Mental Health)
1354 HANCOCK ST
QUINCY, MA 02169
Counselor
1354 HANCOCK ST
QUINCY, MA 02169
Counselor (Mental Health)
1354 HANCOCK ST
QUINCY, MA 02169
Social Worker (Clinical)
1354 HANCOCK ST
QUINCY, MA 02169
Counselor (Mental Health)
1354 HANCOCK ST, STE 304
QUINCY, MA 02169
Massage Therapist
1354 HANCOCK ST
QUINCY, MA 02169
Counselor
1354 HANCOCK ST
QUINCY, MA 02169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Mumford's NPI number?

The NPI number for Mary Mumford is 1730291246. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Mary Mumford located?

Mary Mumford practices at 1354 Hancock St, Quincy, MA 02169. The listed phone number is (617) 471-5686.

What is Mary Mumford's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Mumford was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.